58-295
Cerclajes o tornillos tipo poller como ayuda a la reducción y estabilización del enclavado retrógrado en fracturas del fémur distal. Técnica y comparación sobre una breve serie de casos.
Cerclages versus poller screws to aid reduction and stabilization during retrograde nailing of distal femur fractures. Technique and comparative results in a brief case series.
IEDRA-CALLE CA1,2, ANDRÉS-PEIRÓ JV1,2, GARCÍASÁNCHEZ Y2, PORCEL-VÁZQUEZ JA3, TOMÀS-HERNÁNDEZ J1,2, SELGA-MARSÀ J1,2, PUJOL-ALARCON O1,2, PÉREZ-GIL M4, MOREIRA-BORIM F2, GARCÍA-ALBÓ E1, ÓLEOTALTAVULL R1, TEIXIDOR-SERRA J1,2 1. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA, HOSPITAL UNIVERSITARI VALL D'HEBRON,08035, BARCELONA, ESPAÑA 2. GRUPO DE CIRUGÍA RECONSTRUCTIVA DEL APARATO LOCOMOTOR, VALL D'HEBRON INSTITUT DE RECERCA (VHIR), 08035, BARCELONA, ESPAÑA 3. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA, HOSPITAL QUIRÓNSALUD PALMAPLANAS,07010, MALLORCA, ESPAÑA 4. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA, HOSPITAL UNIVERSITARI DR. JOSEP TRUETA,17007, GIRONA, ESPAÑA
Recepción:
20/11/2023
Aceptación:
20/11/2023
Publicación:
20/11/2023
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Resumen (ES)
Retrograde nailing is widely accepted in the management of fractures of the distal femur. The mechanical characteristics
of the nail and the distal femur make it difficult to achieve proper alignment, so there are several methods to improve
reduction and stability. In this retrospective, single-center study, the use of cerclages or poller screws defined two groups
of patients, with one-year follow-up. We included 33 patients, predominating elderly women. Cerclages were used in 22
and poller screws in 11. Cerclages predominated in spiroid fractures (16/22) and yielded better sagittal alignments
(malalignment 0.6º vs. 2.6º for poller; p<0.01). We found no differences in bone healing times, bleeding or complications.
Cerclages and poller are useful in combination with femoral retrograde nails. Cerclages are especially helpful in spiroid
fractures, which are frequent in fragile population
of the nail and the distal femur make it difficult to achieve proper alignment, so there are several methods to improve
reduction and stability. In this retrospective, single-center study, the use of cerclages or poller screws defined two groups
of patients, with one-year follow-up. We included 33 patients, predominating elderly women. Cerclages were used in 22
and poller screws in 11. Cerclages predominated in spiroid fractures (16/22) and yielded better sagittal alignments
(malalignment 0.6º vs. 2.6º for poller; p<0.01). We found no differences in bone healing times, bleeding or complications.
Cerclages and poller are useful in combination with femoral retrograde nails. Cerclages are especially helpful in spiroid
fractures, which are frequent in fragile population
Palabras clave (ES):
fractura
clavo.
distal
fémur
Resumen (EN)
Retrograde nailing is widely accepted in the management of fractures of the distal femur. The mechanical characteristics
of the nail and the distal femur make it difficult to achieve proper alignment, so there are several methods to improve
reduction and stability. In this retrospective, single-center study, the use of cerclages or poller screws defined two groups
of patients, with one-year follow-up. We included 33 patients, predominating elderly women. Cerclages were used in 22
and poller screws in 11. Cerclages predominated in spiroid fractures (16/22) and yielded better sagittal alignments
(malalignment 0.6º vs. 2.6º for poller; p<0.01). We found no differences in bone healing times, bleeding or complications.
Cerclages and poller are useful in combination with femoral retrograde nails. Cerclages are especially helpful in spiroid
fractures, which are frequent in fragile population
of the nail and the distal femur make it difficult to achieve proper alignment, so there are several methods to improve
reduction and stability. In this retrospective, single-center study, the use of cerclages or poller screws defined two groups
of patients, with one-year follow-up. We included 33 patients, predominating elderly women. Cerclages were used in 22
and poller screws in 11. Cerclages predominated in spiroid fractures (16/22) and yielded better sagittal alignments
(malalignment 0.6º vs. 2.6º for poller; p<0.01). We found no differences in bone healing times, bleeding or complications.
Cerclages and poller are useful in combination with femoral retrograde nails. Cerclages are especially helpful in spiroid
fractures, which are frequent in fragile population
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